Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 28, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Liver resection using a soft-coagulation system without the Pringle maneuver.

Kojun Okamoto1, Isamu Koyama, Yasuko Toshimitsu

  • 1Department of Gastroenterological Surgery, Saitama Medical University, Saitama, Japan. kokamoto@saitama-med.ac.jp

Hepato-Gastroenterology
|October 26, 2011
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Intravascular Lipoma of the Right Innominate Vein: Is Cardiopulmonary Bypass Required?

Annals of thoracic surgery short reports·2026
Same author

Burnt-Out MASLD Predicts Outcomes After Curative Resection for Hepatocellular Carcinoma.

Liver international : official journal of the International Association for the Study of the Liver·2026
Same author

First Successful Regeneration of a Structurally Native-Like Colon Using a Bioabsorbable Polymer Sheet.

Annals of gastroenterological surgery·2026
Same author

Optical Coherence Tomography Findings in the Optic Disc Before and After Removal of Brain Tumor in a Case of Foster Kennedy Syndrome.

Case reports in ophthalmological medicine·2026
Same author

[A Case of Intussusception Due to Small Intestinal Cancer Diagnosed by Laparoscopy].

Gan to kagaku ryoho. Cancer & chemotherapy·2026
Same author

[A Case of Symptomatic Giant Retroperitoneal Intramuscular Lipoma with Clinically Suspected Well-Differentiated Liposarcoma].

Gan to kagaku ryoho. Cancer & chemotherapy·2026

Hepatic resection without the Pringle maneuver using a soft-coagulation system significantly reduces blood loss and surgery time. This innovative method demonstrates improved postoperative liver function and safety.

Area of Science:

  • Hepatobiliary surgery
  • Surgical innovation
  • Minimally invasive techniques

Background:

  • The Pringle maneuver is a standard technique to minimize blood loss during hepatic resection.
  • Controlling intraoperative bleeding remains a critical challenge in liver surgery.
  • Alternative methods to the Pringle maneuver are sought to improve patient outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of a novel hepatectomy method.
  • To assess operative blood loss and short-term outcomes without using the Pringle maneuver.
  • To compare outcomes with traditional Pringle maneuver use.

Main Methods:

  • Retrospective analysis of 102 hepatic resections performed without the Pringle maneuver.
  • Comparison with 75 hepatic resections performed using the Pringle maneuver.

Related Experiment Videos

Last Updated: May 28, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

  • Utilized a soft-coagulation system for liver resections without Pringle maneuver.

    • Main Results:

    • Hepatic resections without the Pringle maneuver were significantly shorter (135 min vs. 297 min).
    • Operative blood loss was substantially lower in the non-Pringle maneuver group (200cc vs. 704cc).
    • Postoperative liver function markers (AST, ALT, T-Bil, PT) showed significant improvement.

    Conclusions:

    • Hepatic resection utilizing a soft-coagulation system without the Pringle maneuver is safe and effective.
    • This method offers superior control of operative bleeding.
    • The technique leads to better short-term postoperative liver function.